Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Medical Clinic

Organization Multi-Specialty Clinic/Center · NPI 1063290260

Innovative Medical Clinic is a Multi-Specialty Clinic/Center in Jefferson City, Missouri. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

3218 W Edgewood Dr Ste 500
Jefferson City, MO 65109
Phone: (949) 696-6157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Primary Care Clinic/Center Taxonomy 261QP2300X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1063290260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elochukwu Osoego — Owner · (949) 696-6157
NPI enumeratedSeptember 19, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address3218 W Edgewood Dr, Ste 500, Jefferson City, MO 65109

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